- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $32.36 / $46.77
| Facility | | $12.02 | $32.36 | $46.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $14.13 / $33.88
| Professional | | $10.96 | $14.13 | $33.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.42 / $32.36 / $40.74
| Professional | | $20.42 | $32.36 | $40.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.98 / $40.74 / $89.13
| Professional | | $16.98 | $40.74 | $89.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.98 / $21.88 / $52.48
| Facility | | $16.98 | $21.88 | $52.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $20.42 / $43.65
| Professional | | $10.00 | $20.42 | $43.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.42 / $20.42 / $21.88
| Professional | | $20.42 | $20.42 | $21.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.42 / $20.42 / $20.42
| Facility | | $20.42 | $20.42 | $20.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.98 / $16.98 / $37.15
| Facility | | $16.98 | $16.98 | $37.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $14.13 / $40.74
| Professional | | $10.00 | $14.13 | $40.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.18 / $16.98 / $16.98
| Professional | | $13.18 | $16.98 | $16.98 |